Norwood Family Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3061 Issued in TN

Legal business name

NORWOOD FAMILY EYE CARE, LLC

Practice address

2120 Emporium Dr
Jackson, TN 38305

Phone

(731) 984-7000

Fax

(731) 984-7001

NPI assigned

Aug 30, 2012

Last updated

Sep 10, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chaka Chanelle Norwood, ODNPI 1356656029

Title

Optometrist/Owner

Phone

(817) 223-7294

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chaka Chanelle Norwood, O.D.

  • Optometrist
  • Memphis, TN
  • NPI 1356656029
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1376892794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 EMPORIUM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-984-7000",
            "fax_number": "731-984-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EMPORIUM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-984-7000",
            "fax_number": "731-984-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWOOD FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "NORWOOD",
        "authorized_official_first_name": "CHAKA",
        "authorized_official_middle_name": "CHANELLE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "817-223-7294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08859508",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528670",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northbrooke Health Care and Rehab Clinic
• Northbrooke Healthcare and Rehab Center
• Northbrooke Healthcare and Rehab Center LLC
• Jordan Timothy Northrop
• Northside Medical Clinic, P.C.
• Nothside Dental Center, PA
• Victor C Nwazue, M.D.
• Sylvester Agorua Nwedo, MD
• Chibuzo E. Nwokolo, MD
• Benjamin Nye, DO

• Optometrist in Jackson, TN
• Providers in Jackson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.